Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Lenzen, Mattie J.; Boersma, Eric; Bertrand, Michel E.

doi:10.1016/j.accreview.2005.09.061

Cited by 25 publications

(32 citation statements)

References 40 publications

(25 reference statements)

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“…The EHS-CR was described in detail elsewhere (15). Briefly, the survey was designed to screen consecutive patients undergoing invasive procedures in the catheterization laboratory.…”

Section: Ehs-crmentioning

confidence: 99%

“…For this study, patients with diabetes were classified as those who used oral hypoglycemic agents, insulin, or a combination of both. The extent of CAD was estimated by the number of diseased arteries and the number of diseased segments (15).…”

Section: Definitionsmentioning

confidence: 99%

“…The Euro Heart Survey on Coronary Revascularization (EHS-CR) was developed to obtain quantitative information on the adherence to guidelines and prognosis in patients undergoing coronary angiography (15). The EHS-CR enrolled 3,006 consecutive patients with stable CAD, and this well-characterized study population provides a unique opportunity for a systematic analysis of the relation between patient characteristics (including diabetes), invasive treatment choices, and prognosis.…”

mentioning

confidence: 99%

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Diabetes Does Not Influence Treatment Decisions Regarding Revascularization in Patients With Stable Coronary Artery Disease

Breeman

Bertrand²,

Ottervanger³

et al. 2006

Diabetes Care

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OBJECTIVE -To evaluate whether in stable angina preference for coronary revascularization by either percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) is influenced by diabetes status and whether this has prognostic implications.RESEARCH DESIGN AND METHODS -A total of 2,928 consecutive patients with stable angina who were enrolled in the prospective Euro Heart Survey on Coronary Revascularization were studied. Multivariable analyses were applied to evaluate the relation between diabetes, treatment decision, and 1-year outcome.RESULTS -Diabetes was documented in 587 patients (20%) who had more extensive coronary disease. Revascularization was intended in 74% of patients with diabetes and in 77% of those without diabetes. In patients selected for revascularization, CABG was intended in 35% of diabetic and in 33% of nondiabetic patients. Multivariable analyses did not change these findings, but in some subgroups diabetes influenced treatment decisions. For example, diabetic subjects with mild heart failure had more often intended revascularization (91%) than those without diabetes (67%, P Ͻ 0.001). Treatment decisions in patients with more extensive (left main, multivessel, or proximal left anterior descending artery) disease were not influenced by diabetes status. Diabetes was not associated with an increased incidence of all-cause death, nonfatal cerebrovascular accident, or nonfatal myocardial infarction at 1 year, regardless of preferred treatment. The incidence of the combined end points was 7.3% in diabetic and 6.8% in nondiabetic patients (adjusted hazard ratio 1.0 [95% CI 0.7-1.4]).CONCLUSIONS -In stable angina, treatment decisions regarding revascularization or the choice for CABG or PCI were not influenced by the presence of diabetes. Diabetes was not associated with a poor prognosis. Diabetes Care

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“…The EHS-CR was described in detail elsewhere (15). Briefly, the survey was designed to screen consecutive patients undergoing invasive procedures in the catheterization laboratory.…”

Section: Ehs-crmentioning

confidence: 99%

Section: Definitionsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Diabetes Does Not Influence Treatment Decisions Regarding Revascularization in Patients With Stable Coronary Artery Disease

Breeman

Bertrand²,

Ottervanger³

et al. 2006

Diabetes Care

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“…By employment of stents, the PTCA became more effective in the treatment of complicated lesions, allowing revascularization after an acute vessel closure 5 . This method decreases the incidence of in-stent restenosis to less than 10% 6 .…”

Section: Introductionmentioning

confidence: 99%

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Simsekyilmaz

Schreiber

Weinandy

et al. 2013

JoVE

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Despite the considerable progress made in the stent development in the last decades, cardiovascular diseases remain the main cause of death in western countries. Beside the benefits offered by the development of different drug-eluting stents, the coronary revascularization bears also the life-threatening risks of in-stent thrombosis and restenosis. Research on new therapeutic strategies is impaired by the lack of appropriate methods to study stent implantation and restenosis processes. Here, we describe a rapid and accessible procedure of stent implantation in mouse carotid artery, which offers the possibility to study in a convenient way the molecular mechanisms of vessel remodeling and the effects of different drug coatings.

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“…In spite of great advances in diagnosis and management, ST segment elevation myocardial infarction (STEMI), it remains a major public health problem in the industrialized world and is on the rise in developing countries [1,2]. Primary percutaneous coronary intervention (PPCI) is now classified as class I indication in STEMI in the guidelines of the European Society of Cardiology (ESC) [3].…”

Section: Introductionmentioning

confidence: 99%

Modified Shock Index as a Predictor of In-Hospital Outcome in Cases of ST-Segment Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention

2016

JCCR

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Submit Manuscript | http://medcraveonline.com 8]. The concept of shock index, defined as the ratio of heart rate and systolic blood pressure, first introduced by Allgower et al, in 1967 as a simple and effective means for gauging the degree of hypovolemia in hemorrhagic and infectious shock states [9]. Subsequently, experimental and clinical studies demonstrated that SI was inversely related to physiologic parameters, such as cardiac index, stroke volume, left ventricular stroke work, and mean arterial pressure [10].A new index, modified shock index (MSI), is created by as the ratio of HR and mean arterial pressure (MAP). He noticed that SI uses only systolic blood pressure, but diastolic blood pressure (DBP) is also of undeniable importance when determining patient's clinical severity. Hence he incorporated diastolic blood pressure and developed the modified shock index (MSI) [16]. Subjects and MethodsThis study was carried prospectively and included 216 patients who presented to CCU of Cardiology department, Zagazig university hospitals with acute STEMI who were treated with PPCI (from 1/2014 until 8/2016), with A time window for doing PPCI of 12 hours from onset of maximum chest pain. Extended time window to 18 hours from onset of maximum chest pain was used for patients presented with cardiogenic shock. We excluded the patients who, received fibrinolytic therapy, presented more than 12 hours from the onset of chest pain except for whom presented with cardiogenic shock, died at ER or before doing PPCI and presented by acute hemorrhage, acute hypovolemia, severe sepsis, severe trauma, or suspicion of pulmonary embolism.Patients who met the inclusion criteria were subjected to thorough history taking, Physical examination with special emphasis on both Blood pressure and pulse that were measured accurately in the supine position with >2 readings were taken with 1 min interval, and averaged. Admission SI was calculated for every patient that equals (admission HR/ admission SBP). Modified Admission SI was calculated for every patient that equals (admission HR/ mean admission BP, here MBP= [(DBPx2) +SBP]/3). The optimal cut-off values of SI, and MSI were based on optimizing the sum of sensitivity and specificity by receiver operating characteristic curve analysis, which predicted inhospital major adverse cardiovascular events.The patients were divided into 4 groups: The TIMI risk score was calculated for each patient using the variables obtained at admission according to the published criteria [5]. Killip's classification, Chest examination: with emphasis on detecting pulmonary edema or presence of pulmonary congestion, Cardiac examination: with emphasis on detecting murmurs Volume 7 Issue 4 -2016

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Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Cited by 25 publications

References 40 publications

Diabetes Does Not Influence Treatment Decisions Regarding Revascularization in Patients With Stable Coronary Artery Disease

Diabetes Does Not Influence Treatment Decisions Regarding Revascularization in Patients With Stable Coronary Artery Disease

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Modified Shock Index as a Predictor of In-Hospital Outcome in Cases of ST-Segment Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention

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